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ECG Rhythm Interpretation Guide

This document is a presentation on ECG rhythm interpretation and normal sinus rhythm. It covers the objectives of recognizing normal sinus rhythm and common rhythm disturbances. The learning modules discuss ECG basics, analyzing rhythms, normal sinus rhythm, heart arrhythmias, diagnosing myocardial infarction, and advanced 12-lead interpretation. It defines normal sinus rhythm and describes how problems in the sinus node, atrial cells, AV junction, or ventricular cells can lead to different arrhythmias. The presentation concludes with instructing users to take a practice quiz.

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Muhammad Bilal
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394 views16 pages

ECG Rhythm Interpretation Guide

This document is a presentation on ECG rhythm interpretation and normal sinus rhythm. It covers the objectives of recognizing normal sinus rhythm and common rhythm disturbances. The learning modules discuss ECG basics, analyzing rhythms, normal sinus rhythm, heart arrhythmias, diagnosing myocardial infarction, and advanced 12-lead interpretation. It defines normal sinus rhythm and describes how problems in the sinus node, atrial cells, AV junction, or ventricular cells can lead to different arrhythmias. The presentation concludes with instructing users to take a practice quiz.

Uploaded by

Muhammad Bilal
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd

FOR MORE FREE MEDICAL POWERPOINT PRESENTATIONS VISIT WEBSITE

www.medicalppt. blogspot.com
For more presentations www.medicalppt.blogspot.com

ECG Rhythm Interpretation


Module III Normal Sinus Rhythm

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Course Objectives
To recognize the normal rhythm of the heart - Normal Sinus Rhythm.

To recognize the 13 most common rhythm disturbances.


To recognize an acute myocardial infarction on a 12-lead ECG.
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Learning Modules
ECG Basics How to Analyze a Rhythm Normal Sinus Rhythm Heart Arrhythmias Diagnosing a Myocardial Infarction Advanced 12-Lead Interpretation
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Normal Sinus Rhythm (NSR)


Etiology: the electrical impulse is formed in the SA node and conducted normally. This is the normal rhythm of the heart; other rhythms that do not conduct via the typical pathway are called arrhythmias.
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NSR Parameters
Rate 60 - 100 bpm Regularity regular P waves normal PR interval 0.12 - 0.20 s QRS duration 0.04 - 0.12 s Any deviation from above is sinus tachycardia, sinus bradycardia or an arrhythmia For more presentations www.medicalppt.blogspot.com

Arrhythmia Formation
Arrhythmias can arise from problems in the: Sinus node Atrial cells AV junction Ventricular cells

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SA Node Problems
The SA Node can: fire too slow fire too fast Sinus Bradycardia Sinus Tachycardia

Sinus Tachycardia may be an appropriate response to stress.


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Atrial Cell Problems


Atrial cells can: fire occasionally from a focus fire continuously due to a looping re-entrant circuit Premature Atrial Contractions (PACs) Atrial Flutter

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Teaching Moment
A re-entrant pathway occurs when an impulse loops and results in selfperpetuating impulse formation.
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Atrial Cell Problems


Atrial cells can also: fire continuously Atrial Fibrillation from multiple foci or Atrial Fibrillation fire continuously due to multiple micro re-entrant wavelets
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Teaching Moment
Multiple micro reentrant wavelets refers to wandering small areas of activation which generate fine chaotic impulses. Colliding wavelets can, in turn, generate new foci of activation. For more presentations www.medicalppt.blogspot.com
Atrial tissue

AV Junctional Problems
The AV junction can: fire continuously Paroxysmal due to a looping Supraventricular re-entrant circuit Tachycardia block impulses AV Junctional Blocks coming from the SA Node
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Ventricular Cell Problems


Ventricular cells can: fire occasionally Premature Ventricular from 1 or more foci Contractions (PVCs) fire continuously Ventricular Fibrillation from multiple foci fire continuously Ventricular Tachycardia due to a looping re-entrant circuit
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End of Module III


Normal Sinus Rhythm
Proceed to Module III Practice Quiz on WebCT

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FOR MORE FREE MEDICAL POWERPOINT PRESENTATIONS VISIT WEBSITE

www.medicalppt. blogspot.com
For more presentations www.medicalppt.blogspot.com

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